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J <br /> PAGE 01 <br /> TOWN OF ALBION <br /> ACCESS:4PPLICA TIONAND PERMIT <br /> FROM PRIVATE. PROPERTY TO A TOWN ROAD <br /> Cost of Access Permit is $25.00 Deposit: $1000.00 <br /> Name of Applicant Laurel Tucker <br /> Street Address; 587 Academy Dr <br /> City, State,Zip: Edgerton,WI 53534 Phone: 608-484-6788 <br /> Property Owner Name(if different from Applicata): <br /> Street Address: -- ---- _. <br /> City, State, <br /> Zip: <br /> This property is: residential commercial agricultural manufacturing <br /> Parcel # 0512-214-63N-8 &0512-214-6314-6 <br /> Construction location; North! South%East/West Side of Church St <br /> (Road on which acc:as is loaded) <br /> located_200 feet from_Academy and Church _ <br /> antersecti.n of tov.nitow or town!counly rd).,. <br /> in Section 21, Gown of Albion. <br /> ATTACH A DRAWING OR MAP SHOWING ACCESS LOCATION ON ABOVE <br /> PROPERTY. Specify footage from lot lines and show all existing accesses. <br /> CONDITIONS <br /> Width of driveway: feet. <br /> Center of driveway from property line: ____ - feet. <br /> No drainage culvert needed <br /> X Drainage culvert Size: Length: 24 feet; diameter: 12 inches <br /> if this request is for an additional access: <br /> • Property size in acres: <br /> • Total road frontage on the road from which the proposed access would serve the <br /> parcel <br /> • Measurement between centerlines of the existing and proposed accesses in feet <br /> • Distance f ona the side setbacks of the properly_._.__--_ <br /> • Zoning classification of the subject property <br /> Number of feet from intersections of any town/town or town/county' <br /> roads: <br /> C:,oncun?Ct?t5 and Sct1..n$v.'Adrn ni>trlun-My 00cuntcot5,accetn_.perrnit.doc <br />